Which of the Following Is Not a Potential Reason for Downcoding

question 10

Multiple Choice

Which of the following is not a potential reason for downcoding?

• A) The insurance carrier does not cover the services included on the claim.
• B) The coding system used by the insurer does not match that used by the provider.
• C) A workers' compensation carrier converts a CPT code to the lowest-paying code in the system.
• D) The payer discovers that documentation does not back up the level of code used.
• E) The provider uses a HCPCS code the insurer does not recognize.

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Definitions:

Petroleum

A naturally occurring, liquid hydrocarbon found beneath the Earth's surface, often used as fuel and in various industrial applications.

Output Per Million BTUs

A measure of energy efficiency, indicating the amount of output produced for every million British Thermal Units consumed.

World Population

The total number of living humans on Earth at a given time.

Per Capita Energy

The average amount of energy consumed per person within a specific population or area.